Dr Melissa Laite, DMD | |
12196 County Road 512, Fellsmere, FL 32948-5463 | |
(772) 257-8224 | |
(772) 252-3245 |
Full Name | Dr Melissa Laite |
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Gender | Female |
Speciality | Dentist |
Location | 12196 County Road 512, Fellsmere, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568101509 | NPI | - | NPPES |
114796600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 26878 (Florida) | Primary |
Entity Name | North Florida Medical Centers Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255526638 PECOS PAC ID: 6103737697 Enrollment ID: O20040102000848 |
Mailing Address | Practice Location Address |
---|---|
Dr Melissa Laite, DMD 1545 9th St Sw, Vero Beach, FL 32962-4312 Ph: (772) 257-8224 | Dr Melissa Laite, DMD 12196 County Road 512, Fellsmere, FL 32948-5463 Ph: (772) 257-8224 |
Raisa W Arana, DDS Dentist Medicare: Medicare Enrolled Practice Location: 12196 County Road 512, Fellsmere, FL 32948 Phone: 772-257-8224 Fax: 772-213-3157 | |
Mia Starcevic, DMD Dentist Medicare: Medicare Enrolled Practice Location: 12196 County Road 512, Fellsmere, FL 32948 Phone: 772-257-8224 Fax: 772-213-3157 | |
Amber Rowe, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 12196 County Road 512, Fellsmere, FL 32948 Phone: 772-257-8224 Fax: 772-213-3157 |